研究多学科协作管理模式在老年髋部骨折中的应用

MDT management model in hip fracture of the elderly

目的 研究多学科协作(multidisciplinary team,MDT)管理模式在老年髋部骨折中的诊治效果。方法 采集我院2019年9月至2020年9月收治采用传统管理模式的老年髋部骨折患者共153例,其中有87例符合要求并做为传统组,以2020年10月至2021年10月收治采用MDT管理模式的老年髋部骨折患者共167例,其中有85例符合要求并做为MDT组。对比两组患者的平均术前等待时间、平均住院天数、术后并发症发生率及平均住院支出。结果 MDT组患者平均术前等待时间及平均住院日均比传统组减少,差异有统计学意义(P <0.05)。MDT组住院总并发症发生率低于传统组,差异有统计学意义(P <0.05)。MDT组平均住院支出比传统组少,差异有统计学意义(P <0.05)。结论 组建的MDT管理模式对老年髋部骨折的治疗可以缩短术前等待时间及平均住院日,降低住院后总体并发症发生率,从而达到快速康复的效果,同时为患者节省了部分支出,值得广大骨科医师参考。

Objective To study the effect of multidisciplinary team( MDT) management model in the diagnosis and treatment of hip fracture in the elderly. Methods From September 2019 to September 2020, 153 elderly patients with hip fracture were treated in our hospital;among them, 87 patients were listed in the traditional group.From October 2020 to October 2021, MDT management was applied for 167 elderly patients with hip fractures;among them, 85 patients were listed in the MDT group. The average waiting time before operation, length of stay, incidence of postoperative complications and hospitalization cost were compared between the two groups. Results The mean preoperative waiting time and average hospital stay in MDT group were significantly lower than those in traditional group( P < 0.05). The total complication rate of MDT group was lower than that of traditional group( P < 0.05). The average hospital expenditure of MDT group was lower than that of traditional group( P < 0.05). Conclusions MDT management model can shorten the waiting time and average length of stay before operation and reduce the overall incidence of complications after hospitalization and expenditure, so as to achieve the effect of rapid rehabilitation.